ATI RN
Psychotropic Medication Quiz Quizlet Questions
Question 1 of 5
Which nursing interventions best demonstrate an understanding of the Quality and Safety Education in Nursing (QSEN) competences? Select all that apply.
Correct Answer: A
Rationale: Step 1: Asking the patient about treatment expectations demonstrates patient-centered care, a core QSEN competency. Step 2: Patient involvement in decision-making enhances safety and quality of care. Step 3: It promotes effective communication and collaboration, key QSEN competences. Step 4: Seeking recertification for CPR is important but not directly related to QSEN competencies. Step 5: Monitoring social media is not a reliable source for healthcare opinions and does not reflect QSEN principles. Step 6: Consulting with a dietician about cultural preferences aligns with cultural competence but is not specific to all QSEN competencies.
Question 2 of 5
What principle about nurse-patient communication should guide a nurse's fear about 'saying the wrong thing' to a patient?
Correct Answer: A
Rationale: The correct answer is A because effective nurse-patient communication is based on conveying genuine acceptance, respect, and concern for the patient's situation. This principle helps build trust and rapport, leading to better outcomes. Choice B is incorrect because patients value both talking and listening in communication. Choice C is incorrect as any comment, regardless of patient history, can impact them emotionally. Choice D is incorrect as it makes a generalization about people with mental illness and forgiveness tolerance, which is not relevant to nurse-patient communication.
Question 3 of 5
Noah has made it clear he doesn't want to talk about his dad. But the truth is, as the interview proceeds, he becomes anxious and tries to evade all questions about why he is here. Which type of communication might be most appropriate right now?
Correct Answer: D
Rationale: The correct answer is D: Ask a miracle question. This type of communication technique is appropriate because it allows Noah to envision a positive future without directly probing into his personal issues, which might make him uncomfortable. By asking a miracle question, such as "If you woke up tomorrow and everything was better, what would be different?" it can help Noah open up about his concerns in a more indirect and non-confrontational way. This can build trust and rapport with Noah, as it shows that you are empathetic and focused on helping him envision a solution to his problems. Choices A, B, and C are incorrect because they are more direct approaches that may increase Noah's anxiety and resistance. Giving advice without understanding the full context of his situation (Choice A), expressing disapproval (Choice B), or asking a blunt question (Choice C) may lead to further avoidance and hinder the communication process.
Question 4 of 5
Hugo is 21 and diagnosed with schizophrenia. His history includes significant turmoil as child and adolescent. Hugo reports his father was abusive and routinely beat him, all of his siblings, and his mother. Hugo's early exposure to stress most likely:
Correct Answer: B
Rationale: The correct answer is B because Hugo's early exposure to stress, particularly abuse, is a known risk factor for developing psychiatric disorders like schizophrenia. Research shows that adverse childhood experiences can increase the likelihood of mental health issues later in life. This is due to the impact of chronic stress on brain development and functioning, leading to vulnerability to psychiatric disorders. Choices A, C, and D are incorrect because resilience, survival skills, and nurturing nature are not typically outcomes of experiencing severe abuse and trauma in childhood.
Question 5 of 5
The care plan of a male patient diagnosed with a dissociative disorder includes the nursing diagnosis ineffective coping. Which behavior demonstrated by the patient supports this nursing diagnosis?
Correct Answer: B
Rationale: The correct answer is B because using alcohol and marijuana indicates maladaptive coping mechanisms, aligning with ineffective coping nursing diagnosis. Alcohol and drugs are commonly used to escape reality or numb emotional pain, indicating poor coping skills. Choice A suggests memory loss, not necessarily coping. Choice C indicates dissociative symptoms, not necessarily coping. Choice D reflects depersonalization, which is a symptom of dissociative disorders but doesn't directly relate to coping strategies.